Atlas of Coronary Intravascular Optical Coherence Tomography (eBook)

Annapoorna Kini, Jagat Narula, Yuliya Vengrenyuk, Samin Sharma (Autoren)

eBook Download: PDF

2017 | 1st ed. 2018
XIII, 100 Seiten
Springer International Publishing (Verlag)
978-3-319-62666-6 (ISBN)

Infos

This atlas is a practical and fully illustrated guide to the use of intravascular OCT in diagnosis and treatment of coronary artery disease. It consists of two parts. The first part of the book provides a systematic introduction to coronary imaging with OCT. It describes how to interpret images and describes abnormal findings seen in atherosclerosis, complications after intervention, and stent assessment. The second part of the book presents real-life case studies that show how OCT is used in clinical practice in Mount Sinai to assess the disease, select appropriate treatment, and evaluate complications and results. Each case includes a brief clinical history, procedure summary, angiography and OCT images, including video material, and a discussion of how OCT affected the clinical decision-making process.

Jagat Narula, MD, PhD is a world-renowned physician-scientist in cardiovascular medicine and imaging and leads the cardiac services at Mount Sinai St. Luke's and Mount Sinai Roosevelt hospital campuses of the Mount Sinai Health System. He is involved in clinical and basic research in the fields of heart failure and atherosclerosis, with major emphasis on development of novel noninvasive imaging techniques. He has made contributions to the imaging of apoptotic cell death in heart muscle, and to the imaging of atherosclerotic plaques vulnerable to rupture.

Annapoorna Kini serves as a Professor of Medicine, Director of Cardiac Catheterization Laboratory, Director of Interventional Structural Heart Disease Program, and Director of Interventional Cardiology Fellowship at The Mount Sinai Medical Center, where she was named Zena and Michael A. Wiener Medicine Professor in 2016. She researches on the field of percutaneous coronary intervention and heart valve therapy. Kini co-established, with Dr Sharma, the Live Symposium of Complex Coronary and Vascular Cases in 1998 and has served as Director of the Annual Live Symposium of Complex Coronary & Vascular Cases at The Mount Sinai Medical Center. She has been among the first interventional cardiologists in the country to use the TAVI procedure in the treatment of inoperable patients with critical aortic stenosis.

Dr Yuliya Vengrenyuk is an instructor at Mount Sinai Hospital and the Icahn School of Medicine at Mount Sinai.

Dr Samin K. Sharma is an interventional cardiologist holding the American record for the highest number of complex coronary interventions performed annually, along with the highest angioplasty success rate in New York State. Dr. Sharma is responsible for operational issues related to Cardiology at the main campus and in the Mount Sinai network. He also increases Mount Sinai's network of affiliated cardiologists in the tri-state area. As Dean for International Clinical Affiliations, Dr. Sharma serves as Mount Sinai's clinical representative to develop relationships and affiliations worldwide.

Inhalt

Preface 5
Contents 6
Abbreviations 8
List of Videos 10
1: Optical Coherence Tomography: Principles, Image Acquisition, and Assessment 13
1.1 Optical Coherence Tomography Principles 13
1.2 Equipment 15
1.3 Image Acquisition and Safety 15
1.4 Image Display and Assessment 16
References 25
2: Acute Coronary Syndrome: Ruptured and Intact Fibrous Caps 26
2.1 Introduction 26
2.2 Case 1. Non-ST-Elevation Myocardial Infarction – Thin Cap: Going, Going, Gone… (Figs. 2.3, 2.4 and Video 2.1) 29
2.3 Case 2. Plaque Rupture in Unstable Angina Pectoris: Subcritical Stenosis, Plaque Rupture, and Acute Event (Figs. 2.5 and 2.6, Videos 2.2 and 2.3) 31
2.4 Case 3. ST-Elevation Myocardial Infarction Caused by Plaque Rupture and Total Occlusion of the LAD: An Accident with a Traffic Jam Ahead (Figs. 2.7 and 2.8, Videos 2.4 and 2.5) 33
2.5 Case 4. ST-Elevation Myocardial Infarction Arising from Plaque Erosion: Acute Coronary Event with Intact Fibrous Cap (Figs. 2.9 and 2.10, Video 2.6) 35
2.6 Case 5. Multimodality Imaging of Plaque Erosion in Non-ST-Elevation Myocardial Infarction: A Young Woman Who Smokes May Be Vulnerable (Figs. 2.11 and 2.12, Video 2.7) 37
2.7 Case 6. Probable Plaque Erosion in Non-ST-Elevation Myocardial Infarction: Obviating a Need for a Stent in Plaque Erosion (Fig. 2.13, Video 2.8) 39
2.8 Case 7. Unstable Angina in a Young Patient with Systemic Lupus Erythematosus (Figs. 2.14 and 2.15, Video 2.9) 40
2.9 Case 8. Spontaneous Coronary Vasospasm: Imaged, Verified, and Left Alone (Fig. 2.16, Video 2.10) 42
2.10 Case 9. Postpartum Spontaneous Coronary Artery Dissection: quod erat demonstrandum (Figs. 2.17 and 2.18, Videos 2.11 and 2.12) 43
2.11 Case 10. Coronary Intramural Hematoma in Unstable Angina Pectoris: Another Example of an Acute Coronary Event with an Intact Fibrous Cap (Fig. 2.19, Video 2.13) 45
References 46
3: Stable Coronary Artery Disease: Assistance in Complex Percutaneous Coronary Intervention 47
3.1 Introduction 47
3.2 Case 1. Rotational Atherectomy of a Proximal LAD Lesion: Grinding the Lesion (Figs. 3.1 and 3.2, Videos 3.1 (Part I), 3.1 (Part II), 3.2, and 3.3) 49
3.3 Case 2. Orbital Atherectomy of a Heavily Calcified RCA Lesion: Shaving the Lesion (Figs. 3.3 and 3.4, Videos 3.4, 3.5, and 3.6) 51
3.4 Case 3. Orbital Atherectomy for Proximal LAD In-Stent Restenosis: Debulking an Iatrogenic Complication (Figs. 3.5 and 3.6, Videos 3.7 and 3.8) 53
3.5 Case 4. Single Stenting of LAD-D1 Bifurcation Followed by Simultaneous Two-Balloon Inflation: About Kissing to Perfection (Figs. 3.7 and 3.8, Videos 3.9 and 3.10) 54
3.6 Case 5. Compromised Side Branch Flow After LAD-D1 Stenting: On Finding Faults and Correcting Consequences (Figs. 3.9, 3.10, and 3.11, Videos 3.11, 3.12, and 3.13) 56
3.7 Case 6. V Stenting of LAD-D1 Bifurcation Lesion: About Metallizing the Carina (Figs. 3.12 and 3.13, Videos 3.14 and 3.15) 59
3.8 Case 7. Atherectomy and Two-Stent Technique for Calcified LAD-D1 Bifurcation Lesion: Dealing Wisely with Double Whammy (Figs. 3.14 and 3.15, Videos 3.16 and 3.17) 61
3.9 Case 8. OCT Guidance for Unprotected Left Main and LAD PCI: Looking Before Leaping in Treacherous Terrain (Figs. 3.16 and 3.17, Video 3.18) 63
3.10 Case 9. Severely Calcified Distal Left Main Bifurcation Lesion: On Cracking Tougher Nuts (Figs. 3.18 and 3.19, Videos 3.19 and 3.20) 65
3.11 Case 10. Periprocedural Myocardial Infarction After Proximal RCA PCI: On Predicting Inclement Weather (Figs. 3.20 and 3.21, Videos 3.21 and 3.22) 67
References 69
4: Post-Stent Evaluation, Stent Thrombosis, and In-Stent Restenosis 70
4.1 Introduction 70
4.2 Case 1. Stent Malapposition (Figs. 4.1, 4.2 and 4.3, Videos 4.1, 4.2 and 4.3) 72
4.3 Case 2. Stent Malapposition and Underexpansion (Figs. 4.4, 4.5 and 4.6, Videos 4.4, 4.5 and 4.6) 75
4.4 Case 3. Stent Underexpansion in a Calcified Bifurcation Lesion (Figs. 4.7, 4.8 and 4.9, Videos 4.7, 4.8 and 4.9) 78
4.5 Case 4. Acute Stent Thrombosis (Fig. 4.10, Video 4.10) 81
4.6 Case 5. Subacute Stent Thrombosis (Figs. 4.11 and 4.12, Videos 4.11 and 4.12) 82
4.7 Case 6. Another Case of Subacute Stent Thrombosis (Figs. 4.13 and 4.14, Videos 4.13 and 4.14) 84
4.8 Case 7. Establishing a Track (Fig. 4.15) 86
4.9 Case 8. Establishing a Track in Rocky Terrain (Fig. 4.16, Video 4.15) 87
4.10 Case 9. Orbital Atherectomy for In-Stent Restenosis Lesion (Fig. 4.17, Videos 4.16 and 4.17) 88
4.11 Case 10. Cutting Balloon Angioplasty for In-Stent Restenosis (Figs. 4.18 and 4.19, Videos 4.18 and 4.19) 91
4.12 Case 11. In-Stent Restenosis with Chronic Total Occlusion (Figs. 4.20 and 4.21, Videos 4.20 and 4.21) 93
References 94
5: New Stents, New Procedures, and Intraprocedural Challenges 96
5.1 Introduction 96
5.2 Case 1. Preparing a Heavily Calcified Lesion for Accepting a Bioresorbable Vascular Scaffold (Figs. 5.1 and 5.2, Videos 5.1 and 5.2) 97
5.3 Case 2. Preparing a Totally Occluded Vessel for a Bioresorbable Vascular Scaffold (Figs. 5.3 and 5.4, Videos 5.3 and 5.4) 99
5.4 Case 3. Explaining the Unexplainable (Fig. 5.5, Video 5.5) 101
5.5 Case 4. Clarifying the Halos (Figs. 5.6 and 5.7, Videos 5.6 and 5.7) 102
5.6 Case 5. I Cannot Possibly Muddy the Water You Are Drinking Up There (Figs. 5.8, 5.9 and 5.10, Videos 5.8, 5.9 and 5.10) 104
References 107
Index 108

Produkt-Details

• Erscheint lt. Verlag: 5.10.2017
• Zusatzinfo: XIII, 100 p. 81 illus. in color.
• Verlagsort: Cham
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete
• Schlagworte: atherosclerotic plaque • cardiography • Coronary stent • In-stent restenosis • Optical coherence tomography • Percutaneous coronary intervention • Plaque rupture
• ISBN-10: 3-319-62666-3 / 3319626663
• ISBN-13: 978-3-319-62666-6 / 9783319626666